Genital Exams

Question 1

Inspection

Answer 1

View the sacrococcygeal and perianal areas for ulcers, inflammation, hemorrhoids, herpes, chancre, bleeding, etc

Question 2

Palpation

Answer 2

Gloves, lubrication, bear down, insert finger, rotate finger, palpate

Question 3

Which prostate disorders have general enlargement?

Answer 3

acute prostatitis

chronic prostatitis

Question 4

What prostate disorder has enlarged lateral lobes?

Answer 4

benign hypertrophy

Question 5

What lobe in prostate has cancer?

Answer 5

posterior lobe

Question 6

Prostate disorder that has soft or hard / warm

Answer 6

acute prostatitis

Question 7

Prostate disorder that has normal DRE

Answer 7

chronic prostatitis

Question 8

Prostate disorder that is boggy (symmetrical)

Answer 8

benign hypertrophy

Question 9

Prostate disorder that is hard / nodular

Answer 9

prostate cancer

Question 10

Which prostate disorders are non-tender?

Answer 10

Chronic prostatitis
Benign Hypertrophy
Cancer

Question 11

Which prostate disorders are tender?

Answer 11

Acute Prostatitis

Question 12

Prostate disorder that causes fever

Answer 12

Acute Prostatitis

Question 13

Prostate disorder that causes bloody semen

Answer 13

Chronic Prostatitis

Question 14

Prostate disorder that causes median sulcus gone

Answer 14

Benign Hypertrophy

Question 15

Prostate disorder that causes walnut nodule

Answer 15

Prostate cancer

Question 16

Which prostate disorders can you have co-care and adjust?

Answer 16

Acute, Chronic, Benign Hypertrophy, Cancer

Question 17

Which prostate disorders can you treat with zinc?

Answer 17

Acute Prostatitis

Question 18

Which prostate disorders can you treat with nutrition?

Answer 18

Chronic prostatitis
Benign Hypertrophy
Cancer

Question 19

Which prostate disorders can you treat with exercise?

Answer 19

Chronic Prostatitis

Question 20

Which prostate disorders are associated with nocturia?

Answer 20

Benign Hypertrophy

Question 21

Breast Exam Inspection Position

Answer 21

Arms at sides, arms over head, hands pressed to sides, lean forward

Question 22

Breast Exam Inspection

Answer 22

Size, symmetry, contour, dimpling, edema, streaks, venous pattern
Nipples: size and shape, direction pointing, rashes or ulcerations, discharge

Question 23

Breast Exam Palpation

Answer 23

Patient supine, use pads of three fingers in rotary motion to press against chest wall. Check for:
Consistency: young more elastic, pregnant more lobular, aged more granular and stringy
Induration
Tenderness
Nodules
Palpate each nipple
Palpaten lymphatics including axillary, supraclavicular, infraclavicular

Question 24

Benign nodules, < 30 yo (>2 cm = surgery)

Answer 24

fibroadenoma

Question 25

Regresses after menses, multiple mobile (tx: adjust, nutrition)

Answer 25

Fibrocystic disease

Question 26

Tender, enlarged, red streaks (tx: ER referral)

Answer 26

Mastitis

Question 27

Nipple retraction, unilateral dimpling, bleeding, orange peel appearance

Answer 27

Breast cancer

Question 28

M/c area for breast metastasis

Answer 28

toward the axillar by way of the duct and lymphatic channels (infiltrating duct)

Question 29

Untreat gonorrhea (gram n.), Chlamydia, E. coli

Answer 29

PID

Question 30

Causes HCG increase

Answer 30

Twins Tumors (tx: adjust, nutrition, folate iron)

Question 31

Causes normal HCG

Answer 31

Pregnancy

Question 32

Causes HCG decrease

Answer 32

Ectopic pregnancy

Question 33

Dysmenorrhea, infertility

Answer 33

Endometriosis | (tx: adjust, pregnancy) CBC for potential anemia